JUSTIN TRAVIS GREENLAW

GRAND RAPIDS, MI
NPI1518377134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001195)
Enumeration Date2014-05-05
Last Update Date2014-05-05
Business Address
-- JUSTIN TRAVIS GREENLAW AT, ATC
4100 LAKE DR SE #305
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
Mailing Address
-- JUSTIN TRAVIS GREENLAW AT, ATC
4100 LAKE DR SE #305
GRAND RAPIDS, MI 49546
Phone number: 616-267-8860